Caudally-based single-layer septum-vomer flap for cleft palate closure.

The surgical technique using a single-layer caudally-based septum-vomer flap for cleft palate surgery, especially for unilateral cleft lip and palate cases, is described and introduced in this paper. The advantages and disadvantages of this primary technique are discussed and compared with other types of vomer-flap closures for the hard palate. Additionally, a lip flap, for anterior nasal floor closure, is introduced for the uninterrupted closure of the cleft of the premaxilla and palate.